Palliative Care

Timing of Palliative Care Consults Key in Elderly Patients with Pancreatic Cancer

Chase Doyle

September 2018, Vol 8, No 9 - Palliative Care

A claims analysis of elderly patients with pancreatic cancer has shown that those receiving early palliative care consultations had lower healthcare utilization than patients who received late palliative care. Data presented at ASCO 2018 showed that patients who received palliative care within 4 weeks of diagnosis had fewer visits to the emergency department (2.4 vs 3.0, respectively; P <.001) and lower emergency department–related costs ($3043 vs $4117, respectively). [ Read More ]

Using Goals-of-Care Videos Can Revolutionize End-of-Life Decisions

Chase Doyle

March 2018, Vol 8, No 3 - Palliative Care

A recent survey by Consumer Reports shows that nearly 90% of Americans prefer to die at home, focused on comfort, and yet 66% of Americans aged >65 years die in a healthcare setting, intubated and in considerable pain. According to Angelo E. Volandes, MD, MPH, Internal Medicine Physician, Massachusetts General Hospital, Boston, this misalignment between the medical care people want and the care they ultimately receive is the most urgent problem in American healthcare today. [ Read More ]

Utilization of Palliative Care “Dismal” for Patients with Hematologic Malignancies

Chase Doyle

March 2018, Vol 8, No 3 - Hematologic Malignancies, Palliative Care

The largest-ever study of palliative care trends has shown the use of palliative care services to be “sporadic at best” for patients with hematologic malignancies. According to the review of nearly 300,000 patients, there was also significant heterogeneity in practice patterns, including National Cancer Institute (NCI)-designated practices, across all characteristics studied. [ Read More ]

Begin End-of-Life Conversations When Diagnosing Metastatic Disease

Meg Barbor, MPH

March 2018, Vol 8, No 3 - Palliative Care

Discussions about prognosis, transitions to palliative care, and the end of life are—to say the least—challenging for patients and providers. But effective, honest, and supportive communications are keys to good clinical care and informed decision-­making, according to Dame Lesley Fallowfield, FMedSci, DPhil, Professor of Psycho Oncology, Sussex Health Outcomes Research & Education in Cancer, University of Sussex, Brighton, England. [ Read More ]

Updated ASCO Recommendations Support Early Palliative Care in Patients with Advanced Cancers

Jessica Miller

February 2017, Vol 7, No 2 - Palliative Care

Patients with advanced cancer should receive early palliative care concurrently with active standard disease treatment, according to the updated guidelines from the American Society of Clinical Oncology (ASCO), which were recently published in the Journal of Clinical Oncology. An expert panel convened by ASCO concluded that early palliative care in patients with advanced cancers reduces depression and improves satisfaction with care and quality of life. [ Read More ]